MEDICARE: THOMAS J WALSH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2960	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10308I4169	OTHER	TN	TN MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871597435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS J WALSH DO

Provider Business Mailing Address
First Line	:	501 GREAT CIRCLE ROAD
Second Line	:	SUITE 200
City	:	NASHVILLE
State	:	TN
Zip	:	37228
Country	:	US
Telephone Number	:	615-396-6800
Fax Number	:	615-396-6801

Provider Business Practice Location Address
First Line	:	2723 NEW SALEM HWY
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128
Country	:	US
Telephone Number	:	61-396-6850
Fax Number	:	615-396-6855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/15/2018

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